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Immunization Works September 2013

Immunization Works September 2013 Newsletter


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Vaccines for Preteens and Teens: HPV vaccine remains underutilized in the United States. CDC has new resources available to support physician recommendations for HPV.

  • Recommending HPV Vaccine Successfully: In this new Medscape commentary, Dr. Anne Schuchat addresses physicians on giving strong HPV vaccine recommendations. Dr. Schuchat advises that physicians should recommend the vaccine along with other adolescent vaccines and that they should not interpret parents’ questions as resistance. Dr. Schuchat walks through the new tip sheet [1 page] that provides physicians with helpful responses when asked a question about the vaccine. Dr. Schuchat also emphasizes the importance of the vaccine for cancer prevention. Please visit the Medscape website to view the commentary. You will need to sign up and log in as a member. Registration is free.
  • National Immunization Survey (NIS-Teen): The NIS-Teen MMWR was released on August 29, 2013. The Teen Vaccination Coverage page on the Vaccines for Preteens and Teens site includes a summary that provides an overview of vaccination coverage for adolescents ages 13–17 from 2011 to 2012.
  • AAP and AAFP Conferences: CDC will have an HPV exhibit at both the AAP and AAFP conferences this fall. The exhibit will focus on the “You Are the Key to HPV Cancer Prevention” campaign and will provide physicians with resources to ensure they make strong HPV vaccine recommendations to patients and their parents. The exhibit will also provide information to help physicians to articulate the recommendation effectively and additional resources for talking with parents.

National, State, and Local Area Vaccination Coverage among Children Aged 19–35 Months in the United States: The National Immunization Survey (NIS) is a random-digit-dialed telephone survey used to monitor vaccination coverage among children aged 19–35 months in the United States. The September 13, 2013 MMWR describes national, state, and selected local area vaccination coverage estimates for children born January 2009–May 2011, based on results from the 2012 NIS. Healthy People 2020 objectives set childhood vaccination targets. Maintaining high coverage levels is important to maintain the current low burden of vaccine-preventable diseases in the United States and prevent their resurgence.

Measles in the United States from January 1–August 24, 2013: Measles is a highly contagious acute viral illness that can lead to complications and death. Although measles elimination (i.e., interruption of continuous transmission lasting longer than 12 months) was declared in the United States in 2000, importation of measles cases continues to occur. From 2001–2012, the median annual number of measles cases reported in the United States was 60 (range: 37–220), including 26 imported cases (range: 18–80). The median annual number of outbreaks reported to CDC was four (range: 2–16). Since elimination, the highest numbers of U.S. cases had been reported in 2008 (140) and 2011 (220). The September 13, 2013 MMWR highlights CDC’s evaluation of cases reported by 16 states from January 1–August 24, 2013. A total of 159 cases of measles were reported during this period. Most cases were in persons who were unvaccinated (131 [82%]) or had unknown vaccination status (15 [9%]). Forty-two importations were reported, and 21(50%) were importations from the World Health Organization (WHO) European Region. Eight outbreaks accounted for 77% of the cases reported in 2013, including the largest outbreak reported in the United States since 1996 (58 cases). These outbreaks demonstrate that unvaccinated persons place themselves and their communities at risk for measles and that high vaccination coverage is important to prevent the spread of measles after importation.

Updated Rotavirus VIS: An interim Rotavirus VIS has recently been updated and is now available on the VIS web page.

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Influenza Information

Prevention and Control of Seasonal Influenza with Vaccines in the United States, 2013–14: This just released report updates the 2012 recommendations by CDC’s Advisory Committee on Immunization Practices (ACIP) regarding the use of influenza vaccines for the prevention and control of seasonal influenza.

Influenza Update: Flu vaccine has already started shipping and is available in many locations. Are you ready to promote flu vaccination this season? CDC provides a variety of free materials for all audiences, including print, audio/video, social media tools, and web tools. This season, the website features new materials for American Indian and Alaska Natives as well as Spanish language resources. You can order these free resources and more at the seasonal influenza free resources page; it’s one-stop shopping for up-to-date flu information!

Everyone is encouraged to go online and take the new CDC Flu Vaccination Pledge. Find a flu vaccination clinic near you with the vaccine finder and encourage your friends and family to use this tool. Also check out our partner website, where partners can enter activities into the calendar of events for the 2013–14 flu season. Submit your flu prevention activities/events and see what others are planning now.

You can also visit CDC’s flu home page to read relevant Q&As; get the latest on the H3N2v virus; learn more about the most recent ACIP recommendations; keep up with national and international flu activity, surveillance, and vaccine coverage data; and view information for health care providers.

A press conference will be held on September 26, 2013, to kick off the flu season. Subscribe to CDC’s flu-related e-mail updates for information on how to join this briefing. National Influenza Vaccination Week (NIVW) will be held December 8–14, 2013. This event highlights the importance of continuing influenza vaccination throughout the season. The NIVW site will be updated closer to December, so check back for NIVW-related information and resources.

Flu-related questions and information requests (including web content syndication or to receive updates via subscription) should be directed to CDC at

Influenza Vaccination Practices of Physicians and Caregivers of Children with Neurologic and Neurodevelopmental Conditions in the United States during the 2011–12 Influenza Season: Cognitive dysfunction, seizure disorders (epilepsy), and other neurologic disorders are conditions associated with a high risk for complications of influenza virus infection. This risk was observed during the 2009 influenza pandemic; among 336 pediatric deaths, 146 occurred in children with underlying neurologic disorders, most commonly intellectual disability (76%) and epilepsy (51%). Because little is known about influenza-related knowledge and practices among the families and health care providers of children with neurologic or neurodevelopmental (NND) conditions, CDC worked with Family Voices and the American Academy of Pediatrics to survey parents and physicians during the 2011–12 influenza season to assess these factors. Among 1,005 children with NND conditions, parents reported that 50% of children were vaccinated or had a vaccine appointment scheduled. Vaccination rates were low for children with intellectual disability (52%) and epilepsy (59%). Physician recognition of high-risk conditions was low for intellectual disability (46%) and epilepsy (52%). Efforts to improve physician awareness are essential because physicians are in a key position to educate parents of children with NND conditions about their increased risk for influenza complications and the importance of prevention through vaccination. Further research also is needed to identify barriers to influenza vaccination among families and health care providers of these children. The September 13, 2013 MMWR focuses on vaccination behavior during the 2011–12 influenza season.

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Resources and Information

Current Issues in Immunization Netconference: Immunization netconferences are live, one-hour presentations combining an online visual presentation with simultaneous audio via telephone conference call and a live question and answer session. Internet access and a separate phone line are needed to participate. The next netconference is scheduled for November 14, 2013. The topic will be announced soon and will be posted on the netconference web page where you can also view past presentations.

You Call the Shots Modules: You Call the Shots is a web-based training course developed through the Project to Enhance Immunization Content in Nursing Education and Training. The Hepatitis A, Vaccine Storage and Handling, and Vaccines for Children (VFC) modules have been added within the past few months. Please visit the You Call the Shots web page for additional information. Continuing Education (CE) credit is available for the course.

ACIP Meeting: The next ACIP meeting will be held October 23–24, 2013. Please visit the ACIP meeting web page for presentation slides, meeting minutes, archived video broadcasts, and additional information.

New Group B Strep App: “Prevent Group B Strep” is a standalone application that provides patient-specific and scenario-specific guidance from the 2010 Guidelines for the Prevention of Perinatal GBS Disease. The app generates customized guidelines based on user input of patient characteristics.

With this app, you can:

  • Select your portal—obstetric or neonatal—and answer questions about your patient
  • Receive specific patient management guidance based on the scenario you have entered
  • Obtain appropriate antibiotic regimens for obstetric patients requiring intrapartum prophylaxis

Download the app today!

Adult Immunization Materials: Resource materials are available for order from the Public Health Foundation, including a new prescription pad with a checklist health care providers can use to counsel patients about which vaccines are right for them. Each sheet on the pad lists 17 possible vaccinations and serves as a convenient resource for patients and providers.

Also visit CDC’s Vaccines for Adult Patients resource web page, which has various materials available for download to educate and encourage adult patients to get vaccinated. The resources are part of a new Vaccines for Adults website that provides general information on adult vaccination. Targeted groups include young adults (19–26 years), pregnant women, adults with special health conditions, and older adults (60 years and older).

CDC and Medscape Videos: This special series of commentaries is part of a collaboration between CDC and Medscape and is designed to deliver CDC’s authoritative guidance directly to Medscape’s physicians, nurses, pharmacists, and other health care providers. In this series, experts from CDC offer video commentaries on the current topics important to practicing clinicians. NCIRD has contributed to a variety of commentaries. You will need to sign up and log in as a member to view the videos. Registration is free.

Immunization Resources: Please visit the NCIRD publications ordering form for the latest immunization publications. Copies of the Surveillance of Vaccine-Preventable Diseases DVD, the Parents Guide to Childhood Immunizations, and the 2013 immunization schedules are available for ordering.

CDC Job Openings: CDC is committed to recruiting and hiring qualified candidates for a wide range of immunization and other positions. Researchers, Medical Officers, Epidemiologists, and other specialists are often needed to fill positions within CDC. For a current listing, including international opportunities, please visit CDC’s employment web page.

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Calendar of Events

2013 Idaho Immunization Summit, September 30, 2013, Idaho Immunization Program

Got Your Shots? MDH Annual Immunization Conference, October 10–11, 2013, Minnesota Department of Health

Do the Right Thing—Kansas Immunization Conference [2 pages], October 15–17, 2013, Kansas Immunization Program

Annual Vaccine Renaissance Conference, October 16–18, 2013, Institute for Immunology and Informatics at University of Rhode Island

Annual Nevada Health Conference, October 28–30, 2013, Immunize Nevada

Louisiana Shots for Tots Conference, November 7–8, 2013, Louisiana Shots for Tots

Current Issues in Vaccines Webinar, November 13, 2013, Dr. Paul Offit, Vaccine Education Center, Children’s Hospital of Philadelphia

Clinical Vaccinology Course, November 15–17, 2013, National Foundation for Infectious Diseases (NFID), Cambridge, Massachusetts

26th Annual Infectious Diseases in Children Symposium, November 16–17, 2013, Infectious Diseases in Children


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